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General NPI Number Information
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NPI Number | 1942317086
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Entity Type | Organization
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Legal Business Name | ANGSPATT PISIT MD SC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 5601 VICTORIA DR
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City | OAK FOREST
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State | IL
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Zip | 60452-2134
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Country | US
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Telephone | 708-687-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 VICTORIA DR.
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City | OAK FOREST
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State | IL
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Zip | 60452-2134
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Country | US
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Telephone | 708-687-7550
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. PISIT RANGSITHIENCHAI
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Credential | M.D.
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Telephone | 708-687-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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